Kenneth A Furcolo in Providence - Medical

Kenneth A Furcolo - NPI 1376626440

Kenneth A Furcolo is a Medical in Providence, Rhode Island. Kenneth A Furcolo practices all healthcare services and medical treatments related to Medical. The NPI Number for Kenneth A Furcolo is 1376626440. The last update date is 2021-08-19.

Kenneth A Furcolo's current location address is 285 Promenade St, Providence, Rhode Island. You can contact this provider via phone number 4017777000 and fax number 4014594006. The mailing address for Kenneth A Furcolo is 285 Promenade St, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth A Furcolo
Address 285 Promenade St, Providence, Rhode Island
Phone Number 4017777000
Fax Number 4014594006
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1376626440
Provider Enumeration Date 2006-10-23
Last Updated Date 2021-08-19

Provider Mailing Address Detail

Address 285 Promenade St
City Providence
State Rhode Island (RI)
Post Code 29085719
Phone Number 4017777000
Fax Number 4014594006

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA00067
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20622 RI BLUE CROSS
406284 RI BLUE CHIP

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FAQs about Kenneth A Furcolo

What is the unique provider identifier assigned to Kenneth A Furcolo?

The Kenneth A Furcolo has been issued the NPI (National Provider Identifier) 1376626440 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kenneth A Furcolo's facilities are situated?

The facilities of Kenneth A Furcolo are physically located at the following address: 285 Promenade St, Providence, RI, 29085719.

What is Kenneth A Furcolo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kenneth A Furcolo is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1376626440 to Kenneth A Furcolo?

The Kenneth A Furcolo received its 1376626440 assignment from the Centers for Medicare & Medicaid Services on 2006-10-23.

As of what date were the Kenneth A Furcolo's details last updated?

The information pertaining to the Kenneth A Furcolo, including its address, specialty, and other details, was most recently updated on 2021-08-19.

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